| NPI | 1912203050 |
|---|---|
| Doing Business As | WELLSTAR CREEKSIDE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | NICOLE ASHE Executive Director Of Finance 470-644-0095 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2013-11-19 |